Tactical Combat Casualty Care Certification (NAEMT)


“This Tactical medicine course is by far the best I have seen in my 15 years of service in the SEAL teams. The final exercise is as realistic and stressful as I’ve seen in a training environment. They not only hit the wickets for the cert but also provide some unparalleled realistic training scenarios utilizing Hollywood makeup artists and the most knowledgeable instructors in the business”

Josh K
SEAL Medic/18D



TCCC Certification* | 4 days | Dec 4-7, 2019 | $1450** | San Diego

* The 4-day TCCC course is our enhanced version which includes tissue labs, ballistic labs, professional moulage artists and other enhanced features

** $1250 for Military, Law Enforcement, EMS/Medical Practitioners, & Public Safety


  • SECFOR has been an approved NAEMT training site since 2012
  • All courses are approved by American College of Surgeons
  • Continuing education credits available to medical providers
  • Our basic course is considered “advanced” by other organizations
  • Current & former Special Operation medics as instructors


4-day TCCC Certificate Course-Enhanced | $1450*

*$1250 for Active Military/LE/EMS

This certificate course is unlike any medical training you have attended. We will teach you what you will not learn in EMT, Paramedic, Emergency first responder courses, or other TCCC programs. This course will prepare students to deal with live-threatening emergencies with very little gear with an extreme hand-on training experience. The course includes tissue labs, ballistic labs, and culminates in a mass casualty incident with patients made up by Hollywood special effects moulage artists in a smoke filled multi-storied building. 

What makes SECFOR’s 4-day TCCC course so different…?

If the organization providing you with a tactical medic certificate of any kind is not willing to invest in tissue labs, ballistic labs, professional moulage scenarios, multi-storied facilities that can be filled with audio, smoke, and other effects….look for another training provider.

Tissue Labs include:

  • Wound packing
  • Hemostatic agents
  • Needle decompression
  • Cricothyrotomy
  • Finger Thoracostomy
  • Chest tubes (for medics)
  • Intraosseous infusion (IO)
  • Intravenous Fluid Delivery (IV)
  • Ballistic labs 
  • Necropsy

This 4-day Tactical Casualty Care program is fully accredited and provides continuing education credits to all EMTs and up. Graduates will receive a certificate of completion and wallet card from the National Association of Emergency medical Technicians (NAEMT)


Prerequisites: This course is ideal for medical providers (EMT to MDs) If you are not a medical provider you should have a need for the enhanced knowledge and training the 4-day course provides. IE Remote Law Enforcement, Park Rangers, High Risk Environment Security Personnel, or you may be looking to get into the medical field. 

Location: Vista, California  USA

Length of course: 4 Days (8:30am – 6:30pm daily)

Cost: $1450 ($1250 for Mil/LE/EMS)

Upcoming Dates: Sep 7 – 10, 2019 | Dec 4 – 7, 2019

Lodging: Upon sign-up we will send you the hotel options close to the training site. If you do not have a vehicle, we will pick you up daily.

Gear Required: None. You may bring your current trauma kit for evaluation

Clothing: Casual (Bring a change of throw-away clothing for day 4)

“I am a 12 year Paramedic, SWAT Medic and WPS1/WPS2 PSS Paramedic…I took this course years ago and to this day it is the best tactical combat casualty program I have ever been to”

Brian D
Department of State WPS/PSS Paramedic


Students above resorting to back-up tourniquets during mass casualty final scenario testing. During a mass casualty incident, it is likely that resources will be quickly depleted, and non CoTCCC approved or improvised tourniquets may be the only hemorrhage control devices available. Students will learn all popular first responder equipment just in case their gear is quickly used up in during an emergency situation. 


2-day TCCC Certificate Course | $450* | San Diego

*$250 for re-certifying SECFOR TCCC students

This 2-day certificate course is ideal for non-medical providers or EMTs & Medics that have never received Tactical Trauma Care training. We packaged this course in a 2-day format. Just as in the 4-day course above, will concentrate on the basics:

  • Rapid Patient Assessment
  • Trauma care approach to Active Shooters
  • Professional wound moulage and special effects
  • Mass Casualty trauma care
  • Effectively stopping massive bleeding
  • Gunshot wound characteristics and treatment
  • Hemostatic Agents (Combat Gauze, Celox)
  • Use of Tourniquets (CAT, SOF-T, Other CoTCCC approved tourniquets)
  • Proper direct pressure
  • Compression bandages (Commercial & improvised)
  • Tactical Priorities – When to treat, when to escape, when to fight
  • Airway Management & emergency airways
  • Chest Seals (What works, what doesn’t straight from the field)
  • Self care
  • Trauma Kit development
  • Different phases of care (And what the non-experienced TCCC instructors are not telling you)
  • Case Studies, once again, right from the experience of our staff
  • Blast injuries
  • Casualty Collection Points
  • Incident Management, Leadership and Decision making
  • Medical Evacuation considerations
  • Demonstration and skills practice
  • TCCC Phases of Care
  • Private and Group Training available

What’s the difference between the 2-day & 4-day TCCC course?

2-day TCCC: The 2-day is ideal for non-medical providers wishing to learn the same live-saving medical interventions that special operations soldiers are taught but in a civilian mass casualty context.  The final scenarios are the same in both courses and you may find yourself rendering aid to injured civilians in a multi-storied, smoke-filled building after a mass casualty incident. 

4-day TCCC: This course is ideal for medical providers, military/government personnel or security contractors that may find themselves working in hostile environments. We conduct advanced tissue labs and go deeper into, medications, blood products and other subjects more appropriate for your skill level or occupational needs.


Prerequisites: No prior medical experience is required. Anyone can attend

Location: Vista, California  USA

Length of course: 2 Days (8:30am – 6:30pm daily)

Cost: $450 ($250 for  former SECFOR students re-certifying their NAEMT TCCC card)

Upcoming Dates: Aug 10 – 11, 2019

Lodging: Upon sign-up we will send you the hotel options close to the training site. If you do not have a vehicle, we will pick you up daily. 

Gear Required: None. You may bring your current trauma kit for evaluation

Clothing: Casual (Bring throw-away clothes for day 2 final scenarios)


Wait…then what’s TECC??

TECC (Tactical Emergency Casualty Care) is merely a concept, adjusted guidelines and terminology that are suitable for non-combat environments. We incorporate TECC principles into our all of our TCCC courses. If you attend a TECC course, make sure the delivering organization has an NAEMT site code and that each instructor is a certified TCCC instructor through the NAEMT also.  Read more here: http://www.c-tecc.org/about/faq

Curriculum is the similar in most TC3 courses, yet our methods are vastly different from the rest…

This TCCC course concentrates on stopping massive bleeding, Proper direct/indirect pressure, tourniquet use, wound packing and pressure bandaging, You will learn to deal with airway & respiration emergencies, conduct emergency patient moves as well as expedited patient assessments. Participants will also learn what should be carried in their trauma kits and where to procure these items. This NAEMT approved certificate-course is ideal for medical or non-medical personnel in Military, Law Enforcement, Protective occupations, Security, Hunters, Recreational Shooters, Civilian Medics, and high risk professions requiring more than First Aid/CPR and EMT courses.

These medic courses were initially developed for Military personnel, Law Enforcement Patrol and SWAT officers, Civilian Medics, and protection teams working in semi-permissive environments where conventional civilian emergency medical interventions & procedures proved ineffective. Operating in non-permissive environments exaggerated the need to break from civilian medical protocols and add tactical decision making in order to provide the best medicine in hostile environments.

All Tactical Medicine/TCCC courses are not created equal…

Though we conduct the required NAEMT guidelines to provide our graduates with the TCCC Provider certificate, 80% of our training is based on instructor field medic experience. Our staff are not EMTs that took a TCCC instructor course, they are accomplished military and austere environment medics that have practiced what they teach. Our instructor cadre includes SARC/MARSOC medics, 18Ds, SEAL Medics, Ranger Medics, SWAT & Flight Paramedics, & Former Air force PJs

Other Medical Courses SECFOR provides:

  • 7-day Advanced TCCC (REBOA, Field Blood Transfusion, Advanced Medication consideration, Cadaver Labs, ACLS, PALS, elements of ATLS)
  • 10-day Austere Extended Care
  • 1-day Civilian Lifesaver (CPR/AED, Severe Bleeding, Airway, Mass Casualty & Public Place emergency scenarios)
  • 1-day Civilian Traveler (Those who travel to foreign locations)
  • 1-day TCCC-AC (All Combatants) Military Only (We will come to you)
  • 5-day TCCC Instructor (Must be current EMT or better with verifiable tactical medical experience )
  • 2-day TCCC-MP (Military Provider) Military Only
  • 4-day TCCC-SOF (Special Operations Enhanced Program)
  • 6-day High Risk First Responder (CPR/AED for Professional Rescuers, Medical Emergencies, & 4 day TCCC program)
  • Custom Programs for Humanitarian/NGO & Private organizations working in hostile environments
  • Mobile Training Team Medic training & evaluation

CONTACT US and let us know how we can help


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